Kentucky Hospital Engagement
Title
Block
Network and Other
Quality Initiatives at KHA
Progress Toward the 40/20 Goal
Donna R. Meador, K-HEN Project Director
HEN Framework
CMS Partnership for Patients
Hospital Engagement Network Program (HEN)
HRET (AHA)
32 Other State
Hospital
Associations
K-HEN
79 hospitals
25 other
HENS
HEN Goals
• 40% reduction in hospital-acquired
harm, 20% reduction in preventable
readmissions
• “Triple Aim”– 1) improving the health of
populations, 2) reducing per capita
costs of care, and 3) improving the
patient experience
• All hospitals participate in these efforts
K-HEN Framework
STAY FIT
CLABSI
CAUTI
SSI
VAP
GO RED
Readmissions
ADE
Patient
Safety
Culture
PIVOT
VTE
Pressure
Ulcers
Falls
OB HARM
*Early Elective
Deliveries
4
•
•
•
•
•
K-HEN Services
Benchmarking
Coaching Calls
Best Practices Education and Resources
Technical Assistance
Patient Safety Culture Education and
Resources (e.g. video’s, lecture modules)
• Presentations to teams, boards, medical
staff, other groups
• Reports, including CEO Dashboard
• Quality & Patient Safety Library
5
Early Elective Deliveries
6
Falls
Injuries from Falls and Trauma
(EOM-FALLS-39)
Baseline
K-HEN
Goal
1.6
1.4
1.2
1.0
0.8
0.6
0.4
0.2
0.0
7
Pressure Ulcers
Pressure Ulcer (CMS HAC) (EOM-PrU-63)
Baseline
K-HEN
Goal
0.03%
0.03%
0.02%
0.02%
0.01%
0.01%
0.00%
8
Now in 3rd/”Option Year”
• Received approval for “optional” 3rd year of
CMS funding
• Option Year participation required signing of
another Commitment Letter by hospital CEO
• Hospitals commit to submitting data on all 11
(initial 10 + “Other OB Harm”)topics as
applicable to their hospital
• ADE topic - data to be submitted on
anticoagulation management, opioid safety,
and glycemic management
• Process and Outcome measure data to be
submitted
9
Option Year continued
 Work plan tailored to feedback provided by hospitals
through day-to-day discussions, meetings, site visit,
and surveys
 Changes include frequency of coaching calls – some
monthly, some bi-monthly; 2014 KHA Quality
Conference 3/18 with K-HEN Showcase on 3/19
 Will continue hospital site visits, TeamSTEPPS
workshops, regional meetings;
 HRET will continue to provide resources and support
on a national level
 LEAPT option for QI work and education – severe
sepsis, C-diff, Iatrogenic delirium, procedural harm,
hospital-acquired ARF, airway safety, undue rad. exp.
10
Continued KHA Quality Work Strategies
• Patient Safety Work ranked 5th
priority by KHA Strategic Planning
Committee
• Seeking funding opportunities to
continue QI work
– Wellpoint grant awarded in Feb. 2014:
“Improving Safety for Mom and Baby”
focusing on EED, Breastfeeding, OB
Hemorrhage, Pitocin management, NCABSI
• Create small rural benchmarking
program through Flex Grant
11
Favorite Quotes and Thoughts..
Being a success in life is just like photography. Just focus on
what’s important, develop from the negatives, and if things don’t
work out, take another shot.
If you do what you’ve always done, you’ll
get what you always get.
Our greatest fear should not be of failure, but of
achieving great success in things that don’t
matter. – Frances Chan
"Knowledge rests not upon truth alone,
but upon error also.“ — Carl Jung
12
There are no secrets to success. It is the result of preparation, hard work, and
learning from failure.” - Colin Powell
Patients suffer if we refuse to learn from others. Make your brain a
global brain. --Don Berwick
Success is the sum of small efforts, repeated day
in and day out. ~ Robert Collier
If a project fails, is it a failure of will,
ideas, or execution?
13
“Change is not about the new thing you want
to do; it’s about the old thing you’re
holding onto.” - Kegan and Lahey
Questions?
14